Coast Guard Mutual Assistance 

Securities Confirmation


Dear  OwnerFirstName OwnerLastName,

Thank you for your contribution of securities to Coast Guard Mutual Assistance.  Your contribution makes it possible for Coast Guard Mutual Assistance to help the men and women of the Coast Guard Family.

Sincerely,

Nickole E. Sciortino
Director of Finance

We will be using the following information when processing your contribution:

Owner(s): OwnerFirstName OwnerMI OwnerLastName   
FirstName MI LastName
Address: Address1, Address2
City , State Zip1-Zip2 
Securities: Security1Number shares of Security1Name
Security2Number shares of Security2Name
Security3Number shares of Security3Name
Broker: BrokerCompany
BrokerName
BrokerPhone

If the information is correct click the Submit Contribution button (please only click once) to send your contribution to CGMA.

Don't forget to print a copy of this page for your records.

If any of this information is incorrect, please click the Back button to go back to the Credit Card Contribution Form and make any necessary changes.

Submit                 Back

"We Help Our Own"